CASSIE J IUTZI (MD) – Family Medicine Physician, NPI 1053756346
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,237 FAMILY PRACTICE in CA
Provider Addresses for CASSIE J IUTZI (MD)
1179 N MCDOWELL BLVD
PETALUMA, CA 949546559
Phone: (707) 559-7500
Fax: (707) 559-7620
Type: Mailing
4860 Y ST STE 1600
SACRAMENTO, CA 958172307
Phone: (916) 734-3630
Type: Location
1179 N McDowell Blvd
Petaluma, CA 949546559
Phone: (707) 559-7500
Fax: (707) 559-7620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160802003335 | I | Family Practice | CA | TBD |
| I20241030000833 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94954)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| Anesthesiology, Pain Management | TN | |
| Internal Medicine | NY | |
| - | AK | |
| Nurse Practitioner | AK | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Nurse Midwife (Cnm) | AK | |
| - | AK | |
| Physician Assistant | AK |
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